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1417324120
CANDICE FORD
BOSSIER CITY, LA
NPI
1417324120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 6992)
Enumeration Date
2015-08-28
Last Update Date
2024-05-15
Business Address
CANDICE FORD SLP
2500 VIKING DR
BOSSIER CITY, LA 71111-2104
Phone number: 318-549-6119
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Mailing Address
CANDICE FORD SLP
1061 DUMAINE DR
SHREVEPORT, LA 71106-2567
Phone number: 318-471-0009
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